MR. Russell Johnson JR., BC-HIS
NPI #1417172966 in Columbia, South Carolina
Provider Information
- NPI Number
- 1417172966
- Entity Type
- Individual
- Name
- MR. Russell Johnson JR., BC-HIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Hearing Instrument Specialist
- Credential
- BC-HIS
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 1522 GREGG ST
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29201-3530
- Phone
- (803) 779-2430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hearing Instrument Specialist |
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